Toxicology of Biomedical Polymers

This paper deals with the various types of polymers, used in the fabrication of medical devices, their diversity of applications and toxic hazards which may arise out of their application. The potential toxicity of monomers and the various additives used in the manufacture of biomedical polymers have been discussed along with hazards which may arise out of processing of devices such as sterilization. The importance of quality control and stringent toxicity evaluation methods have been emphasised since in our country, at present, there are no regulations covering the manufacturing and marketing of medical devices. Finally the question of the general and subtle long term systemic toxicity of biomedical polymers have been brought to attention with the suggestion that this question needs to be resolved permanently by appropriate studies

Hybrid Genetic Algorithm for Medical Image Feature Extraction and Selection

AbstractFor a hybrid medical image retrieval system, a genetic algorithm (GA) approach is presented for the selection of dimensionality reduced set of features. This system was developed in three phases. In first phase, three distinct algorithm are used to extract the vital features from the images. The algorithm devised for the extraction of the features are Texton based contour gradient extraction algorithm, Intrinsic pattern extraction algorithm and modified shift invariant feature transformation algorithm. In the second phase to identify the potential feature vector GA based feature selection is done, using a hybrid approach of “Branch and Bound Algorithm” and “Artificial Bee Colony Algorithm” using the breast cancer, Brain tumour and thyroid images. The Chi Square distance measurement is used to assess the similarity between query images and database images. A fitness function with respect Minimum description length principle were used as initial requirement for genetic algorithm. In the third phase to improve the performance of the hybrid content based medical image retrieval system diverse density based relevance feedback method is used. The term hybrid is used as this system can be used to retrieve any kind of medical image such as breast cancer, brain tumour, lung cancer, thyroid cancer and so on. This machine learning based feature selection method is used to reduce the existing system dimensionality problem. The experimental result shows that the GA driven image retrieval system selects optimal subset of feature to identify the right set of images

Autoimmune Neuromuscular Disorders in Childhood

Autoimmune neuromuscular disorders in childhood include Guillain-Barré syndrome and its variants, chronic inflammatory demyelinating polyradiculoneuropathy (CIDP), juvenile myasthenia gravis (JMG), and juvenile dermatomyositis (JDM), along with other disorders rarely seen in childhood. In general, these diseases have not been studied as extensively as they have been in adults. Thus, treatment protocols for these diseases in pediatrics are often based on adult practice, but despite the similarities in disease processes, the most widely used treatments have different effects in children. For example, some of the side effects of chronic steroid use, including linear growth deceleration, bone demineralization, and chronic weight issues, are more consequential in children than in adults. Although steroids remain a cornerstone of therapy in JDM and are useful in many cases of CIDP and JMG, other immunomodulatory therapies with similar efficacy may be used more frequently in some children to avoid these long-term sequelae. Steroids are less expensive than most other therapies, but chronic steroid therapy in childhood may lead to significant and costly medical complications. Another example is plasma exchange. This treatment modality presents challenges in pediatrics, as younger children require central venous access for this therapy. However, in older children and adolescents, plasma exchange is often feasible via peripheral venous access, making this treatment more accessible than might be expected in this age group. Intravenous immunoglobulin also is beneficial in several of these disorders, but its high cost may present barriers to its use in the future. Newer steroid-sparing immunomodulatory agents, such as azathioprine, tacrolimus, mycophenolate mofetil, and rituximab, have not been studied extensively in children. They show promising results from case reports and retrospective cohort studies, but there is a need for comparative studies looking at their relative efficacy, tolerability, and long-term adverse effects (including secondary malignancy) in children

Optic Nerve Morphology as Marker for Disease Severity in Cerebral Palsy of Perinatal Origin

"Due to neuroplasticity, it is difficult to prognosticate the eventual neurologic outcome and ambulatory status from perinatal neurological insult till age 2-5 years. The objective of this study is to correlate ONH morphology (disc pallor and cupping) with period of gestation (POG) and severity of neurological damage in children with perinatal onset static encephalopathy (POSE).